Organization
CAROLINA SKIN INSTITUTE, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MYRACLE MD (OWNER)
(828) 570-5505
Entity
Organization
Contact information
Practice address
89 HOSPITAL DR STE A-UP1, BREVARD, NC 28712-4837
(828) 570-5505
(828) 259-2581
Mailing address
89 HOSPITAL DR STE A-UP1, BREVARD, NC 28712-4837
(828) 570-5505
(828) 259-2581
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/30/2025
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